Side Effects of Steroid Injections and How Likely Are They to Occur? - Westcare Clinic (2022)

What Are the Side Effects of Steroid Injections and How Likely Are They to Occur?

We offer steroid injections as an effective treatment for many different conditions. Patients often ask us if steroid injections have side effects, and how likely they are to occur. Every medical procedure has some risk of side effects, but steroid injections seldom cause problems for the patient. At WestCare, we carefully evaluate patients to determine whether they are good candidates for steroid injections. We evaluate how likely the patient is to benefit from the injection and the risk of complications.

An Overview of Steroid Injections

According to the Mayo Clinic, doctors administer steroid injections to reduce inflammation and relieve pain in a localized area of the body. Most steroid injections, also called cortisone shots, go into a joint. Large joints like the hip or shoulder, and medium-size joints like the knee, elbow, wrist, ankle, or back can get steroid injections. Sometimes people get relief from cortisone shots in smaller joints located in the hands or feet.

The injection itself is typically a local anesthetic and a corticosteroid medication. The local anesthetic takes care of immediate discomfort, and the steroid works over time to reduce inflammation and pain. The injection procedure usually only takes a few minutes. Steroid injections are outpatient procedures that doctors perform in their offices, ambulatory surgical centers, or hospitals.

Possible Side Effects from Steroid Injections

Minor, temporary side effects, like facial flushing and a feeling of warmth, happen to some people after a steroid shot. More significant reactions are rare. Damage to the tissue in and around the injection site usually only happens after a person has a large number of injections into the same area without waiting long enough between shots.

Because injections administer the steroid locally only to the affected area, as opposed to taking steroid pills that would distribute the substance throughout the entire body, injections generally are a safer method of treating pain and inflammation than oral medications. In patients with diseases or injuries that leave them with extreme pain and inflammation, steroid pills might still be necessary in addition to steroid shots.

Doctors limit the number of steroid injections into a joint to minimize the risk of side effects. The Mayo Clinic says that cortisone shot side effects can include:

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  • Nerve damage
  • Damage to cartilage in the joint
  • Infection of the joint
  • Death of bone close to the injection site
  • Thinning of nearby bone, also called osteoporosis
  • Discoloration of the skin at the injection site, turning light or white
  • Injection site thinning of skin and soft tissue
  • Rupture or weakening of a tendon
  • Temporary blood sugar elevation in people with diabetes
  • Temporary increase in swelling and pain in the joint for up to 48 hours, followed by relief from the temporary and chronic discomfort and inflammation
  • Temporary flushing and feeling of warmth of the face and chest

The typical limits of steroid injections are three or four injections a year, about six weeks apart or more. These limits are generalizations. The precise number of shots and time intervals will depend on many factors unique to each patient, like age, other medications, and underlying medical conditions.

It is essential to disclose all relevant information to the doctor to aid the assessment of your risk. Also, patients should follow the instructions from the doctor’s office about preparation before the injection and steps to take afterward to minimize the risk of side effects and maximize the benefits of the shot.

Some patients get long-lasting relief from their first steroid injection. Others do not see the results they wanted. Everyone responds differently to medical procedures. The guiding principle is to achieve the greatest benefits with the least risk. The Cleveland Clinic says that most people tolerate steroid injections well, and that they are one of the most effective treatments for certain types of pain.

Benefits of Steroid Injections

Steroid injections can reduce or eliminate intense pain, lessen inflammation, and allow a person increased function of the affected area. Usually, steroid injections do not cure the underlying condition, like arthritis, but they can alleviate some of the symptoms of the injury or illness. For some patients, the relief lasts for quite some time, while some other people only experience short-term benefits from the shot.

Epidural Steroid Injections

When spinal nerve inflammation causes intense pain and does not respond to other forms of treatment, an epidural steroid injection might be a viable option.

The epidural area is like a fatty insulation around the spinal cord and spinal nerves. The insulation protects the spinal cord and nerves from damage. The doctor uses a syringe to inject pain medicine into the epidural area at the level that controls the sensations for the area where the patient experiences ongoing pain.

Johns Hopkins University explains that injecting steroids into the epidural area can reduce inflammation in patients who have medical conditions that involve swelling in the spinal column. The back contains many narrow passages that nerves pass through on their way out of the spine to the arms, legs, and other areas of the body.

When there is inflammation in these narrow passages, nerves can get irritated or compressed, leading to pain. Left untreated, the pressure on a nerve could lead to weakness, chronic pain, and even paralysis.

Here are some conditions that can involve narrowing of the passages in the back:

(Video) Side effects from corticosteroids

Herniated, ruptured, or “slipped” disc. A disc is a gel-filled cushion between the vertebrae, which are the bones that run down the center of the back. If something pinches, compresses, or tears a hole in the disc, the gel-like substance can leak out and irritate the nearby nerves. The irritated surrounding tissue can swell, narrowing the passage through which the nerves travel out of the back.

    • Fractured vertebrae. When a bone in the spinal column breaks, a jagged edge can migrate outside of its intended location, even by a few millimeters. Because the anatomy of the back is so complex, a slight variation like that can impinge on the space where something should be. For example, the shifted bone fragment might intrude on space where the nerve is, squeezing the nerve into less space than it needs to have to function properly.
    • Bone spurs on the vertebrae or joints. Some medical conditions can cause a person to grow extra bone-like areas on the joints or vertebrae. Called bone spurs, these growths can be painful and can limit function.
    • Spinal arthritis is an inflammatory disease that involves inflammation and discomfort in the spine and joints. Inflammation in the back can be a vicious cycle because inflammation irritates nerves and surrounding tissues, which then swell, further compressing spinal nerves and causing more inflammation. Steroid injections do not get rid of the arthritis, but reducing the swelling and pain can stop the cycle of inflammation and discomfort.
    • Cysts in the joints of the back. Any abnormal growth in the joints of the back can cause inflammation, pain, and a loss of function. Cysts can compress spinal nerves, causing swelling and discomfort. As the cyst grows, the patient could develop paralysis or weakness in the part of the body the affected nerve serves.

    Epidural steroid injections rarely cause serious complications. The few people who have any side effects tend to experience one or more of these temporary symptoms: increased pain for a few days, difficulty sleeping, anxiety, and “steroid flush,” which is a feeling of warmth and flushing of the face and chest. Rare severe complications include nerve damage, paralysis, allergic reaction, bleeding, and infection.

    Other Conditions That Can Benefit from Steroid Injections

    Cortisone shots can provide effective pain relief for many different disorders, in addition to spinal issues. Here are some other conditions for which steroid injections can reduce inflammation and minimize pain:

    Bursitis

    Bursitis is a disorder that affects the bursae around the joints. Bursae are little sacs that are filled with fluid. The Mayo Clinic says that the purpose of the bursae is to cushion the bones, muscles, and tendons near joints. When the sacs get inflamed, the patient has bursitis, a painful condition.

    It is possible to develop bursitis near the big toe, heel of the foot, and knee. The more common locations for bursitis, however, are the hip, elbow, and shoulder. For most people, the discomfort of bursitis goes away in a few weeks by resting the joint. Sometimes, bursitis does not heal on its own with rest, and a steroid shot can reduce the inflammation and pain.

    If you have a joint that looks red or swollen, feels stiff or aches, and hurts more with use or the application of pressure, you might have bursitis. The joint pain can become disabling. A person might lose the ability to move the joint. Some people get a rash on or around the joint. Sudden changes or worsening of the symptoms or a fever are reasons to see a doctor right away.

    Although people of any age can develop bursitis, the risk of the condition goes up with age. Repetitive motions can increase the risk of getting bursitis. People with diabetes, gout, or arthritis can make a person more likely to develop the condition. Steroid injections can provide relief from bursitis.

    Gout

    Gout is a type of arthritis. According to the Centers for Disease Control and Prevention (CDC), gout tends to attack only one joint at a time, but it does so with a vengeance, causing extreme pain. Often, gout focuses on the joint of the big toe. Other commonly affected areas are the joints of other toes, the knee, and the ankle. Gout is usually only on one side of the body.

    Gout can go into remission, but many people experience flares, when their symptoms return. There is no cure yet for gout.

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    You might have gout if you have intense pain in one joint of the foot, knee, or ankle. Gout often causes noticeable swelling and redness in the affected area. The joint can feel warmer to touch than other areas.

    Hyperuricemia is a condition in which the body makes or retains too much uric acid. The uric acid can build up in tissues, fluids, and joints throughout the body. Hyperuricemia does not need to be treated unless it causes gout. Many people with hyperuricemia do not develop gout.

    Because gout is an inflammatory condition, many people find steroid injections to be a godsend when it comes to managing their pain and inflammation. Cortisone shots do not cure gout, but they can increase the quality of life when a person has a flare-up of the disease.

    Osteoarthritis

    Osteoarthritis is the most common form of arthritis, as MedlinePlus of the U.S. National Library of Medicine explains. Osteoarthritis is also called degenerative joint disease. A person with swelling and pain in one or more joints might have this condition. As the arthritis worsens, the person might have diminished ability to move the joint.

    Osteoarthritis (OA) sounds as if it would attack the bones, but it does not do so, at least, not directly. OA breaks down the cartilage in joints. Cartilage works like a shock absorber in joints. As we move, our bones would grind against each other at our joints if they did not have slippery tissue, cartilage, covering the ends of the bones and taking the force of the movement.

    Because OA causes deterioration of the cartilage, the bones eventually rub against each other. That rubbing causes damage in the joint, damage that can be permanent. Steroid injections can reduce the inflammation and discomfort of OA in affected joints.

    Psoriatic arthritis

    People who have the skin disease psoriasis can develop psoriatic arthritis. Not everyone with psoriasis will have this type of arthritis. There is currently no cure for psoriatic arthritis, but, like other forms of arthritis, the therapeutic goal is to manage the pain and inflammation.

    Flare-ups of the skin condition, which involves itchy patches of raised, red skin, do not always happen at the same time as flare-ups of psoriatic arthritis. The swelling, pain, and stiffness of psoriatic arthritis can range from mild to disabling. Steroid injections can help to manage the discomfort of this medical condition.

    Rheumatoid arthritis

    Many people confuse rheumatoid arthritis and osteoarthritis, but the symptoms are quite different. Unlike osteoarthritis, rheumatoid arthritis (RA) is an autoimmune disease. Autoimmune diseases involve the immune system attacking the body’s tissues. RA can happen in any joint throughout the body. RA usually affects more than one joint, unlike gout. The wrist and fingers are the most common locations for rheumatoid arthritis.

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    When RA affects the joints, the person can experience stiffness and decreased function of the joint, as well as pain and swelling. Because it is an autoimmune disease, RA is not limited to the joints. RA can attack a person’s lungs, mouth, eyes, and other body parts.

    The cause of RA is unknown, but scientists suspect that genetics, hormones, and environmental factors could play a role in determining who develops this disease. There is no cure for RA yet, but medications and treatments like steroid injections can help a patient manage the swelling and pain.

    Tendinitis

    Many people incorrectly self-diagnose that they have arthritis when they actually have tendonitis, or the reverse situation. It is easy to understand this mistake since, as the Arthritis Foundation points out, tendonitis hurts near joints. To further muddy the picture, some forms of arthritis, like gout, osteoarthritis, and rheumatoid arthritis, can cause tendonitis.

    Tendons hold muscles to bones. Your muscles could not move your bones without tendons. Athletes and people over the age of 40 are more likely to develop tendonitis than other people.

    The most common areas in the legs for tendonitis are in the ankle, knee, and calf. In the upper extremities, tendonitis tends to develop in the thumb, hand, wrist, elbow, bicep, or shoulder.

    Repetitive movements and sports injuries are some of the most common causes of tendonitis. Tennis elbow and pitcher’s shoulder are types of tendonitis, even if the patient did not develop the tendonitis from playing those sports. Steroid injections can provide relief to patients with tendonitis.

    Sports Injuries

    Cortisone shots can aid in the healing process for a variety of sports injuries by reducing the inflammation and managing the pain of the injury. When appropriate, steroid injections can get an athlete back on the playing field quicker than some other treatment options.

    At WestCare, our goal is to help you get the best quality of life possible so that you can stay active and healthy. Please call us to find out how we can help.

FAQs

What can go wrong with a steroid injection? ›

temporary bruising or a collection of blood under the skin. flushing of the face for a few hours. an infection, causing redness, swelling and pain – get medical advice as soon as possible if you have these symptoms. a loss of fat where the injection was given – this can cause dimples in the skin and may be permanent.

How safe are steroid injections? ›

When used appropriately, corticosteroid injections are safe, effective, and a common treatment option for many types of orthopedic problems including arthritis, tendonitis, and muscle and joint inflammation.

When should you avoid steroid injections? ›

Steroids should not be injected when there is an infection in the area to be injected or elsewhere in the body. If a joint is already severely destroyed, injections are not likely to help. Before a joint is injected with a steroid, joint fluid may be removed for testing.

Do steroid injections affect the whole body? ›

The takeaway

Cortisone shots are used to treat a wide variety of inflammatory conditions affecting your joints or other parts of your musculoskeletal system. They're generally safe, but they can cause side effects that either affect the treated area or your whole body.

What is the difference between a steroid shot and a cortisone shot? ›

Also called “corticosteroid,” “steroid shot,” and a human-made version of the hormone cortisol, these shots aren't pain relievers. Cortisone is a type of steroid, a drug that lowers inflammation, which is something that can lead to less pain.

How long should you rest after a steroid injection? ›

It helps to rest the joint for 24 hours after the injection and avoid heavy exercise. It's safe to take everyday painkillers such as paracetamol or ibuprofen.

Can a steroid injection raise your blood pressure? ›

Injected corticosteroids have the potential to enter systemic circulation and increase blood pressure. The effect is typically transient.

How quickly do steroid injections work? ›

Most research concludes that steroid injections take between 3-5 days to work. However to be on the safe side we would normally encourage patients to have their injection ideally 7-10 days week before their event. This gives the maximum chance that the steroid will achieve maximum benefits.

How many steroid injections can you have in a lifetime? ›

You can only have three cortisone injections in a lifetime

Generally, if the first injection doesn't work, the second and third probably won't either. Moreover, you should limit yourself to 2-3 injections in one area over 3-6 months. However, the rule that you can only have three in a lifetime is invalid.

Which problem may be a complication of steroid therapy? ›

Side effects of oral corticosteroids

High blood pressure. Problems with mood swings, memory, behavior, and other psychological effects, such as confusion or delirium. Upset stomach. Weight gain, with fat deposits in your abdomen, your face and the back of your neck.

How long does a shot of steroids last? ›

The effects of the injection usually last up to 2 months, but sometimes longer. Cortisone can reduce inflammation that damages joints.

How many steroid injections are safe? ›

Your doctor will probably recommend you don't have more than three steroid injections into the same part of the body within a year. You may be advised to have less than that depending on your symptoms.

Can a cortisone shot affect your heart? ›

Arrhythmias: Studies have shown that the use of corticosteroids, particularly in high doses, is associated with a greater risk of heart arrhythmia known as atrial fibrillation. In this abnormal heart pattern, the heart beats irregularly, and the blood flow to the brain can be impaired, increasing the risk of stroke.

What is the downside to a cortisone shot? ›

The Downsides

According to the National Institutes of Health, the side effects from cortisone shots include: Dizziness or headaches. Skin issues, including dryness, thinness, acne, dry skin, and red or purple blotches. Fatigue and trouble sleeping.

Can a steroid shot make your heart race? ›

Prednisone may cause what is known as tachycardia, or a rapid heart rate over 100 beats per minute.

Where is the most painful place to get a cortisone shot? ›

Where the shot is injected and the size of the needle can impact how much pain you may feel. Injections given in the hand and sole of the foot tend to hurt the most.

What is the next step if a cortisone shot doesn't work? ›

If the first injection doesn't provide pain relief, your doctor may try a second injection four to six weeks later. If there's no improvement after the second injection, a third injection is not recommended.

Do steroid injections weaken your immune system? ›

Based on previous reports, patients on high dose of systemic steroids have reduced immune response after vaccination, but this has not been demonstrated in all patients. The timing of vaccination and steroid use may also affect the vaccine response.

Do steroids make you pee a lot? ›

Results: Low-dose prednisone significantly enhanced urine output. However, the effects of medium- and high-dose prednisone on urine output were less obvious. As for renal sodium excretion, high-dose prednisone induced a more potent natriuresis than low-dose prednisone.

Can I drive after steroid injection? ›

If you experience a post-injection steroid flare wait until it has passed prior to driving again (typically a few days after the injection). Ensure you can perform an emergency brake before starting to drive again. Contact your insurance company if you have any concerns.

What is the best injection for arthritis? ›

Studies show hyaluronic acid injections may work better than painkillers for some people with OA. Other studies have shown they also may work as well as corticosteroid knee injections. Hyaluronic acid injections seem to work better in some people than others.

How long does high blood pressure last after steroid injection? ›

Similarly a transient increase in blood pressure can also occur after a cortisone injection although again this typically goes away within 5-7 days after the injection.

Does blood pressure go back to normal after steroids? ›

But weight gain caused by prednisone may also increase your blood pressure. If your blood pressure increase was caused by salt and water retention, then I would expect your blood pressure to improve over the next few weeks.

How long does anxiety last after steroid injection? ›

This is usually minor and self limiting. The cortisone may result in palpitations, hot flushes, insomnia, and mild mood disturbance. This usually resolves within 24 hours and no treatment is necessary.

How long does a steroid shot last for inflammation? ›

Cortisone shots commonly cause a temporary flare in pain and inflammation for up to 48 hours after the injection. After that, your pain and inflammation of the affected joint should decrease, and can last up to several months.

Do cortisone shots affect your kidneys? ›

Corticosteroid increases the risk of cyclosporine toxicities by increasing drug levels: kidney dysfunction, gall bladder disease, tingling sensations, high blood pressure, edema (swelling), fluid/electrolyte disturbances, and hyperglycemia (high blood sugar).

Why is pain worse after steroid injection? ›

The corticosteroids in the injection are formulated as slow-release crystals to give you long-term pain relief. Pain relief usually lasts for several months. However, the presence of these crystals can irritate your joint, which is what creates the sensation of pain around the area of the shot.

What happens when a cortisone shot hits a nerve? ›

In conclusion, it was shown that the intrafascicular injection of commonly used steroid agents had a direct toxic effect on peripheral nerve-fibers and caused a disruption of the blood-nerve barrier. Use of the more toxic agents in the vicinity of peripheral nerves should probably be avoided.

What are 5 common side effects of steroids? ›

Common side effects of systemic steroids include:
  • Increased appetite.
  • Weight gain.
  • Changes in mood.
  • Muscle weakness.
  • Blurred vision.
  • Increased growth of body hair.
  • Easy bruising.
  • Lower resistance to infection.
20 Jan 2020

What is a most common complication from long term corticosteroid treatment? ›

While corticosteroids have many uses, they also come with several long-term side effects. These medications are known to lead to problems like osteoporosis (thin bones), a weakened immune system, cataracts, thin skin with topical products, and fungal infections of the mouth or throat with inhalers.

Which problem is a common side effect of long term corticosteroid use? ›

Possible side effects

However, prolonged treatment at high doses – particularly with steroid tablets – can cause problems in some people. Potential side effects of long-term treatment include: increased appetite – potentially leading to weight gain. acne.

Why did my doctor give me a steroid shot? ›

Steroids ease inflammation and slow your immune system. They can treat many kinds of inflammatory conditions.

How often can you get a steroid shot? ›

Typically, corticosteroid injections are not given more often than every six weeks, and usually not more than three or four times a year.

Can steroids cause fatigue? ›

However, steroid-induced adverse effects including depression, myopathy, and hyperglycemia may contribute to fatigue. We report our experiences with aggravation of fatigue with steroid use in three cases.

What are the 3 types of injections? ›

What are the different types of injections?
  • Intravenous (IV) injections. An IV injection is the fastest way to inject a medication and involves using a syringe to inject a medication directly into a vein. ...
  • Intramuscular (IM) injections. ...
  • Subcutaneous (SC) injections. ...
  • Intradermal (ID) injections.
2 Nov 2021

Why are steroid shots given in the buttocks? ›

The steroid medication injected will help reduce the inflammation and /or swelling around the nerves that pass near or through the piriformis muscle. This in turn may reduce your pain, numbness, tingling or other symptoms that may contribute to nerve inflammation, irritation or swelling.

What are the symptoms of an allergic reaction to a cortisone shot? ›

Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash, itching, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine.

Can a cortisone shot cause a stroke? ›

Steroid injections into the spine can cause partial or total paralysis, brain damage, stroke, and even death.

Do steroids affect heart rate? ›

Cardiac arrhythmias have been reported to occur in 1% to 82% of patients receiving high doses of corticosteroids. These adverse effects, which include atrial fibrillation/flutter, ventricular tachycardias and sinus bradycardia,5 are usually associated with the intravenous route of administration.

Why do steroids cause heart attacks? ›

If a piece of it breaks off and gets stuck in your bloodstream, it can block blood flow to your heart. And that can cause a heart attack, according to the American Heart Association. The steroid users also had lower levels of HDL cholesterol, or the “good” kind, the researchers found.

Do steroid injections help arthritis? ›

Steroid injections, also called corticosteroid injections, are anti-inflammatory medicines used to treat a range of conditions. They can be used to treat problems such as joint pain, arthritis, sciatica and inflammatory bowel disease.

Are cortisone shots safe for elderly? ›

Cortisone has a place in the treatment of elderly arthritis patients who need help coping with the pain of deteriorating joints. The pain relief provided by the injections can help to postpone or avoid joint surgery.

What is a natural alternative to cortisone shot? ›

Prolotherapy is a great alternative to cortisone injections, because it stimulates the regeneration of treated tissues.

Will a steroid shot raise your blood pressure? ›

Steroids can raise blood pressure in some patients.

What heart rate is too high? ›

Tachycardia refers to a high resting heart rate. In adults, the heart usually beats between 60 and 100 times per minute. Doctors usually consider a heart rate of over 100 beats per minute to be too fast, though this varies among individuals. Factors such as age and fitness levels can affect it.

Can a steroid shot cause high blood pressure? ›

Injected corticosteroids have the potential to enter systemic circulation and increase blood pressure. The effect is typically transient.

What happens when a cortisone shot hits a nerve? ›

In conclusion, it was shown that the intrafascicular injection of commonly used steroid agents had a direct toxic effect on peripheral nerve-fibers and caused a disruption of the blood-nerve barrier. Use of the more toxic agents in the vicinity of peripheral nerves should probably be avoided.

What is the downside to a cortisone shot? ›

The Downsides

According to the National Institutes of Health, the side effects from cortisone shots include: Dizziness or headaches. Skin issues, including dryness, thinness, acne, dry skin, and red or purple blotches. Fatigue and trouble sleeping.

What are common side effects of cortisone injections? ›

Side effects can include:
  • Cartilage damage.
  • Death of nearby bone.
  • Joint infection.
  • Nerve damage.
  • Temporary facial flushing.
  • Temporary flare of pain and inflammation in the joint.
  • Temporary increase in blood sugar.
  • Tendon weakening or rupture.
20 May 2021

What is the next step if a cortisone shot doesn't work? ›

If the first injection doesn't provide pain relief, your doctor may try a second injection four to six weeks later. If there's no improvement after the second injection, a third injection is not recommended.

Can you get a blood clot from a steroid injection? ›

Large study of glucocorticoid drugs did not find higher risk for former users, however. (HealthDay)—People who use drugs called glucocorticoids—a class of steroids—are at increased risk for blood clots in their veins, according to a new study.

Can a cortisone shot affect your heart? ›

Arrhythmias: Studies have shown that the use of corticosteroids, particularly in high doses, is associated with a greater risk of heart arrhythmia known as atrial fibrillation. In this abnormal heart pattern, the heart beats irregularly, and the blood flow to the brain can be impaired, increasing the risk of stroke.

Can a cortisone shot cause a stroke? ›

Steroid injections into the spine can cause partial or total paralysis, brain damage, stroke, and even death.

Where is the most painful place to get a cortisone shot? ›

Where the shot is injected and the size of the needle can impact how much pain you may feel. Injections given in the hand and sole of the foot tend to hurt the most.

How many steroid injections can you have in a lifetime? ›

You can only have three cortisone injections in a lifetime

Generally, if the first injection doesn't work, the second and third probably won't either. Moreover, you should limit yourself to 2-3 injections in one area over 3-6 months. However, the rule that you can only have three in a lifetime is invalid.

How long does a shot of steroids last? ›

The effects of the injection usually last up to 2 months, but sometimes longer. Cortisone can reduce inflammation that damages joints.

Are cortisone shots safe for elderly? ›

Cortisone has a place in the treatment of elderly arthritis patients who need help coping with the pain of deteriorating joints. The pain relief provided by the injections can help to postpone or avoid joint surgery.

How common is cortisone flare? ›

Approximately 2% of people who receive a cortisone shot have an increase in pain in the area being treated. This is the "cortisone flare." Other side effects may include: Skin that becomes lighter at the injection site.

How long does it take for a steroid injection to work? ›

How long will it take for the steroid injection to work? A corticosteroid injection will usually take 3 to 7 days to begin to have a positive effect. It may take up to two weeks for the medicine to decrease the inflammation to a point where pain is improved.

Are spinal steroid injections painful? ›

How painful is a lumbar epidural steroid injection? You'll likely experience a minor pinch when your provider injects the local anesthetic to numb the area before your lumbar epidural steroid injection. You may not feel anything during your lumbar ESI, or you may feel the following: Pressure.

How long does anxiety last after steroid injection? ›

This is usually minor and self limiting. The cortisone may result in palpitations, hot flushes, insomnia, and mild mood disturbance. This usually resolves within 24 hours and no treatment is necessary.

What are the symptoms of an allergic reaction to a cortisone shot? ›

Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash, itching, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine.

Videos

1. Anabolic Steroids: Uses & Side effects - Dr.Ravi Sankar Endocrinologist MRCP(UK) CCT - GIM (UK)
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